Oregon
Lancaster, Pennsylvania
Posted: 21-Oct-24
Location: Altamonte Springs, Florida
Salary: Open
Categories:
Internal Number: 24028043
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Job Location: Monday-Friday Remote
The role you’ll contribute:
The Coder Analyst IV is a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of coding integrity, and ability to function as a liaison to the Quality and Clinical Documentation Improvement teams for the Multi-State Division. Assigns codes to hospital inpatient accounts utilizing the 3M Encoder and Dolbey Computer Assisted Coding programs. Will work with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement specialists and the coding team to code and release accounts for the Multi-State Division. Will work and resolve the chart correction issues daily and work with the team to ensure the Coding Department is within two days of discharge and meeting DNFC goals. Employee will assist in training other team members on inpatient coding. The Coder Analyst IV may participate in our quality, safety review process, which includes mortality, PSI, and HAC reviews. Must have strong coding skills that will promote effective and efficient review of clinical documentation to defend code assignment. May serve as the coding expert on the concurrent review process ensuring all coded data is accurately reflected and supported in the physician documentation. Will work in conjunction with CDI, HIM, Quality, and Informatics leadership across the division to create synergies, maintain bidirectional communication, and act as liaison between CDI, Quality and clinical and administrative partners within the hospital setting and beyond, ensuring open communication and collaboration toward common goals. Actively participates in exemplary customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.
The value you’ll bring to the team:
May perform pre-bill mortality reviews.
• May perform Iodine Retrospect reviews in conjunction with the CDI team.
• Ensures all coding conventions, coding guidelines, coding clinics and regulatory advice are followed.
• Reviews PSI/HACs concurrently to identify query or educational opportunities for coding and physicians.
• Participates in quality discussions regarding mortality/PSI/HAC coded data.
• Functions as a liaison between coding and CDI when a coding team member escalates an account for review and final DRG decision.
1. Requires coding knowledge of all specialties for multi-hospital acute care.
2. Codes all the diagnosis, treatments, and procedures for inpatient records in accordance with departmental policies and procedures.
a. Abstracts all inpatient charts verifies CAC codes and/or assigns diagnosis and procedure codes following ICD-10 coding principles, ICD-PCS Coding Guidelines and Coding Clinic guidelines and Department coding policies and procedures manual.
b. Verifies CAC codes and/or assigns diagnosis and procedure codes based on physician documentation in the record.
c. Reviews and/or verifies diagnostic information as entered in CDI software and participates in our CDI/Coding workflow.
d. Informs the Coding Management Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.
e. Monitors the queue holds and adhere to all hold timelines, releasing on your own accord when appropriate.
f. Consistently maintains productivity and accuracy standards as outlined by Coding leadership.
g. Review and correct coding on accounts and makes changes as appropriate.
1. Demonstrates attention to detail, thoroughness, and accuracy in daily work.
2. Completes high quality work in accordance with outlined standards and procedures within defined timeframes.
h. Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen.
i. Works with other Coding team members to keep coding within two days of discharge.
j. Completes coding for multiple facilities in a timely manner.
k. Works with other coding team members to maintain hospital coding days of less than 3 daysl. Works with coding team members to maintain median coding turn-around time of 3 days or less.
l. Works closely with the CDIS (Clinical Documentation Improvement Specialists) for clear, complete documentation.
m. Participates in department performance improvement reviews and coding reviews.
n. Meets and maintains productivity standards.
o. Meets and maintains a 96% or better in coding accuracy.
p. Demonstrates initiative in providing patients/customer service and resolving problems.
q. Sets priorities and demonstrates effective organizational skills by optimizing use of time, meeting deadlines, and completing assigned tasks in a cost-responsible manner.
The expertise and experiences you’ll need to succeed:
KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:
• Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations.
• Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills.
• High level of expertise as a coding professional.
• Dependable, self-motivated and pleasant
• Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills
• Knowledge and expertise in Coding Guidelines and Coding Clinic.
• Knowledge of pathophysiology, disease processes and treatments• Knowledge of regulatory environment
• Strong ability to organize/triage work and manage multiple priorities at once with little supervision.
• Possesses knowledge about risk adjustment and hospital publicly reported data.
• Possesses knowledge about patient safety indicators, SOI/ROM, and the importance of hospital publicly reported data, value based purchasing, and how coding impacts these measures.
EDUCATION AND EXPERIENCE REQUIRED:
High School Grad or Equiv or 2 years experience
• 3 years of experience in an acute care inpatient coding position
• High school diploma and medical coding certificate program or 2 year HIM program.
EDUCATION AND EXPERIENCE PREFERRED:
1) Bachelor's Degree
2) Five years acute care inpatient hospital coding and/or auditing experience.
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
Certified Coding Specialist
Certified Professional Coder
Certified Professional Coder Payer
LICENSURE, CERTIFICATION OR REGISTRATION:
Please be advised that all licenses and certifications listed are not required. If you only have one or some of those listed, you may still be eligible for this position.
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
• CPC or CPC-P, or CCS or RHIA or RHIT with required years of experience
Licensure, Certification or Registration Preferred:
• AHIMA ICD-10 trainer
• CCDS or CDIP
